FDA Adverse Event
Malfunction
Summary report: N
PROGRAMMING SOFTWARE
MDR report key: 2022968
·
Received February 24, 2011
Report
- Report Number
- 1644487-2011-00343
- Event Type
- Malfunction
- Date Received
- February 24, 2011
- Date of Event
- February 6, 2006
- Report Date
- January 27, 2011
- Manufacturer
- CYBERONICS, INC.
- Product Code
- LYJ
- PMA / PMN Number
- P970003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
ANALYSIS OF PROGRAMMING HISTORY.
Description of Event or Problem · 1
DURING MFR REVIEW OF A VNS PT'S PROGRAMMING HISTORY, IT WAS NOTED AN INTERRUPTED SYSTEMS DIAGNOSTICS TEST OCCURRED ON THE DAY OF INITIAL IMPLANT ((B)(6) 2006). THE PT LEFT THE OPERATING ROOM SET TO 1MA AND 60 MINUTES OFF TIME. THE CHANGE WAS NOT NOTED UNTIL (B)(6) 2006, WHERE THE SETTINGS WERE CHANGED BACK TO THE INTENDED PARAMETERS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROGRAMMING SOFTWARE | LYJ | CYBERONICS, INC. | MODEL 250 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR |